Active NPI
David Brian Greenwood, LISW
- Clinical Social Worker
- Windsor Heights, IA
National Provider Identifier
1063516185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01069
- Practice address
- 6900 University Avenue
Suite 135
Windsor Heights, IA 50311-1505 - Phone
- (515) 243-1020
- Fax
- (515) 883-1946
- NPI assigned
- Sep 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01069 | IA | Primary |
Addresses
Primary practice location
6900 University Avenue
Suite 135
Windsor Heights, IA 50311-1505
Mailing address
6900 University Avenue
Suite 135
Windsor Heights, IA 50311-1505
Phone (515) 243-1020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128731 | Other | IA | VALUE OPTIONS PROVIDER # |
| 238645 | Other | IA | MIDLANDS CHOICE PROVID # |
| 48248 | Other | IA | WELLMARK BCBS PROVIDER NU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063516185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 UNIVERSITY AVENUE",
"address_2": "SUITE 135",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503111505",
"telephone_number": "515-243-1020",
"fax_number": "515-883-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 UNIVERSITY AVENUE",
"address_2": "SUITE 135",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503111505",
"telephone_number": "515-243-1020",
"fax_number": "515-883-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "DAVID",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "01069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "128731",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE PROVID #",
"identifier": "238645",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS PROVIDER NU",
"identifier": "48248",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor Heights, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.